RACHELLE MARIE FREEMAN (NPI# 1285908996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285908996 |
| Entity Type | Individual |
| Full Name | RACHELLE MARIE FREEMAN |
| Credential | LPT |
| Practice Address |
1007 N Lake Ave Pasadena CA 91104-4521 |
| Practice Telephone | 6268089746 |
| Practice Fax Number | 6268089833 |
| Mailing Telephone | 6268089746 |
| Mailing Fax Number | 6268089833 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 36105 | CA | Nursing Service Providers |
| Street Address |
1007 N LAKE AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346350659 | Pacific Clinics | Community/Behavioral Health | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2006-08-30 |
| 1003210386 | Chelsia Michelle Durkee | Counselor | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2014-10-15 |
| 1013342781 | Tiffany Renee Ross | Licensed Psychiatric Technician | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2013-09-12 |
| 1790117760 | Carlos Ramon Magana Jr. | Licensed Psychiatric Technician | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2013-08-01 |
| 1124466578 | Kurt Kinsey | Rehabilitation Practitioner | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2013-06-07 |
| 1366783227 | Gregory Leggett | Rehabilitation Practitioner | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2013-03-01 |
| 1891061925 | Gwendolyn Johnson | Rehabilitation Practitioner | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2012-03-22 |
| 1205160389 | Margaret Martin | Rehabilitation Practitioner | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2009-09-23 |
| 1063645620 | Kirsten Ramirez | Rehabilitation Practitioner | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2009-08-31 |
| 1447489315 | Jamie Lofton | Rehabilitation Practitioner | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2009-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417119413 | Barbara Beboua | Licensed Psychiatric Technician | 1627 N Oxford Ave, Pasadena, CA 91104 | 2008-06-30 |
| 1487262846 | Sharon Marie Sullivan | Licensed Psychiatric Technician | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-21 |
| 1568093706 | Amanda Kathleen Pearson | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-01-27 |
| 1023652898 | Taylor Nicole Hannon | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-11-04 |
| 1184266793 | Esther Hicks | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-10-15 |
| 1598312605 | Alena Luna | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-08-22 |
| 1164078564 | Ginger Anne Brooks | Licensed Psychiatric Technician | 1450 N Lake Ave Ste 150, Pasadena, CA 91104-2388 | 2019-08-13 |
| 1083269252 | Sean Jaret Luat | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-08-05 |
| 1396390720 | Lauren Smith | Licensed Psychiatric Technician | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2019-08-02 |
| 1184187957 | Emerson Sousa | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-04-09 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.